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General NPI Number Information
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NPI Number | 1396443032
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Entity Type | Organization
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Legal Business Name | BAKER GIRLS BEAUTY RELAXATION AND RECOVERY RETREAT LLC
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 110 S GAUSE ST UNIT A
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City | HINESVILLE
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State | GA
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Zip | 31313-3182
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Country | US
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Telephone | 912-332-1596
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S GAUSE ST UNIT A
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City | HINESVILLE
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State | GA
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Zip | 31313-3182
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Country | US
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Telephone | 912-332-1596
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Fax |
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Authorized Official
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Title or Position | GM
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Name | MS. LATANYA DELOIS BAKER
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Credential | DOULA
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Telephone | 912-332-1596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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